Impactful Utilization Review Specialist - Texas
Mindful Health
Mindful Health is seeking a Utilization Review Specialist in Texas to ensure adherence to utilization review plans by evaluating the effectiveness and medical necessity of outpatient services. The ideal candidate will have strong communication skills, efficient time management, and proficiency in Microsoft Office Suite. This position offers a healthy and positive workplace atmosphere with generous paid time off, paid holidays, and comprehensive health insurance benefits. #J-18808-Ljbffr Mindful Health
$17.44 per hour
Utilization Review Specialist I Position is located at Tulsa Center for Behavioral Health - Utilization Review Department. The role involves reviewing clinical documentation for admission appropriateness, continued stay criteria, special studies, and coordinating authorizations...SuggestedHourly payFull timeWork at officeFlexible hoursWeekend work$17.44 per hour
Job Posting TitleUtilization Review Specialist IAgency452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV.Supervisory OrganizationTulsa Center Behavioral... ...Position:Tulsa Center for Behavioral Health is recruiting a Utilization Review Specialist. This position would, under general...SuggestedWork at officeWeekend work$50k
...lives of patients and their families What to Expect (Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment team to gather necessary information for concurrent reviews...SuggestedRemote job$20 - $30 per hour
A behavioral healthcare organization is seeking a Utilization Review Specialist to conduct clinical auditing and negotiate authorizations. The ideal candidate has a Bachelor's degree in Social Work or Nursing and 1-2 years of healthcare experience. Responsibilities include...Suggested$20 - $30 per hour
...industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing... ...health care. Join us in making a lasting impact! Reports to: SeniorDirector of Revenue... ...: None Responsibilities Utilization Review on Behalf of the Clinics: Prescreen referrals...SuggestedRemote work$75k
...Santa Barbara Cottage Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical necessity reviews and collaborating with clinical teams to make informed decisions. Candidates must hold an...Remote work- ...Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct utilization review functions, monitoring the utilization and continuum of services to optimize reimbursement. Coastal Harbor Health System is...Daily paidTemporary workReliefLocal area
$97.76k - $204.59k
...where you can be your whole self, have an impact, advance your skills, deepen your... ...currently seeking a Senior Associate, SAP CRM, Utilities to join our Advisory Services practice.... ...optimized future-state workflows. • Coach and review work products of Analysts/Associates. •...Full timeH1bLocal area- ...A healthcare provider in Savannah, GA is seeking a Per Diem Utilization Review Coordinator. The role involves coordinating Utilization Review functions, ensuring timely and appropriate processes, and maintaining confidentiality. Candidates must possess a Master's degree...Daily paid
$32.8 per hour
...Job Summary The Utilization Review Coordinator is responsible for securing and maintaining payer authorizations for behavioral health services, ensuring medical necessity, appropriate level of care placement, and reimbursement optimization. This role serves as the liaison...Hourly payFull timeMonday to FridayFlexible hours- ...Job Description Job Description REPORTS: Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center... ...Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-...Temporary workFlexible hours
- Title: Utilization Review Specialist - Mental Health/Behavioral Health - REMOTE Location: Remote - Servicing 4 locations in Florida Contract - 13 Weeks - Monday through Friday 8:30 AM to 5:00 PM - 2 Contracts Available Pay: Starting at 28.00 an Hour The UR Specialist is...Remote jobContract workWork at officeMonday to Friday
$35 - $36.71 per hour
...related Streaming Services. Standards & Practices Associates review high profile national advertising campaigns to ensure consistency... ..., claim support, and other documentation obtained and utilized in the clearance process is an integral part of this role. Responsibilities...Hourly payContract workFixed term contractWork at officeRemote work$50 per hour
GreenLife Healthcare Staffing is looking for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting utilization reviews and ensuring healthcare documentation compliance for a respected non-...Remote jobHourly pay$45 - $50 per hour
Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies. With a competitive pay of $45 - $50 per...Remote jobHourly pay$17.44 per hour
The State-of-Oklahoma is looking for a Utilization Review Specialist I at the Tulsa Center for Behavioral Health. This full-time position involves reviewing clinical documentation, ensuring appropriateness of admissions, and coordinating service authorizations. Ideal candidates...Hourly payFull time$32.85 - $35.71 per hour
Broadcast Standards & Practices Associate / Ad Review Specialist 2 days ago Be among the first 25 applicants Get AI-powered advice on this... ..., claim support, and other documentation obtained and utilized in the clearance process is an integral part of this role....Fixed term contract$137.9k - $256.1k
## Senior Specialist Legal Editor, Practical Law AntitrustApplyremote... ...of America, Frisco, Texas: United States of... ...business objectives.* Review and edit content... ...ability to effectively utilize various tools, including... ...Stronger Together.* **Social Impact:** Make an impact in...Work at officeLocal areaFlexible hoursShift work2 days per week3 days per week$88.16k - $162.04k
...strong team connection where you can be your whole self, have an impact, advance your skills, deepen your experiences, and have the... ...ensuring secure and defensible outcomes Develop proficiency in and utilize industry-standard, command-line Digital Forensics and Incident...Full timeH1bLocal area- Position: Case Review Specialist - Phone Intake & Documentation Location: Remote Remote Status: Remote Job Id: 1678 # of Openings: 1... ...degree. Minimum 2 years of experience in healthcare operations, utilization management, case management, intake, call center, or related...Work at officeLocal areaRemote workMonday to FridayShift work
$77.96k - $120.37k
Santa Barbara Cottage Hospital is seeking a Utilization Review Supervisor RN to direct operations within the department. This remote role requires a leader adept in managing a team, ensuring service quality, and handling human resources matters. The ideal candidate will...Remote job$23.01 - $34.24 per hour
...Utilization Management Specialist MSH Case Management FT Days EOW This position is responsible for coordinating requests for clinical information... ...system to alert CM of need for initial and continued stay reviews, and process continued stay and admission denials. Assign...Hourly payFull timeTraineeshipWork at officeLocal areaShift work$19 per hour
...non-clinical tasks related to processing Utilization Management prior authorization and... ...incoming faxes Enter UM authorizations review requests in UM platform using ICD-10 and... ...Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington. Our Story Founded...Temporary workLocal areaRemote work- ...Health Delegate Oversight Specialist Remote | Health Plan... ...credentialing, utilization management (UM), claims... ...plan (CAP) milestones Review and update delegation... ...transforming healthcare in Texas through collaboration... ...to make a meaningful impact in a dynamic environment...Full timeRemote work
- ...healthcare staffing agency in New York is seeking a Clinical Utilization Specialist to oversee the authorization of services for geriatric... ...geriatrics and clinical utilization. Responsibilities include reviewing health services for medical necessity and collaborating with...
- A healthcare solutions company is seeking a Utilization Management Nurse Reviewer to assess the appropriateness of medical services and collaborate with healthcare professionals. This role requires a Licensed Practical/Vocational Nurse with clinical experience and skills...
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving...Work at officeLocal area
- ...technology screening company is seeking a detail-oriented Verification Specialist / Call Center Representative to support accurate background... ..., and the ability to type at least 50 words per minute. Join us to make an impact in informed hiring decisions. #J-18808-Ljbffr...Remote work
$50k - $65k
...and detail-oriented Multimedia Specialist to join our team. This role... ...Have a career with purpose and impact on the environment... ...Artificial Intelligence: Utilize generative AI tools for image... ...Management System (LMS). Review and ensure the quality and accuracy...Work at officeRemote workFlexible hours$114.1k - $268.18k
...where you can be your whole self, have an impact, advance your skills, deepen your... ...Advisory. KPMG is currently seeking a Lead Specialist, IAM, Saviynt to join our Managed... ..., authentication, authorization, access reviews, auditing, and reporting Strong hands...Full timeH1bLocal area
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